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Kim, Son, Kim, and Lyu: Perception and Use of Complementary and Alternative Medicine in Diabetic Patients in Busan Area
Original Article
Korean Journal of Community Nutrition

Korean Journal of Community Nutrition 2011; 16(4): 488-496.

Published online: 31 August 2011

DOI: https://doi.org/10.5720/kjcn.2011.16.4.488

Perception and Use of Complementary and Alternative Medicine in Diabetic Patients in Busan Area

Hyeryung Kim, Eunjoo Son1, Mikyung Kim2, Eunsoon Lyu

Department of Food Science and Nutrition, Pukyong National University, Busan, Korea.

1Department of Nutrition Care, Dongnam Institute of Radiological & Medical Science, Busan, Korea.

2Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea.

Corresponding author: Lyu Eunsoon, Department of Food Science and Nutrition, College of Fisheries Sciences, Pukyong National University, #599-1 Daeyeong 3-dong, Nam-gu, Busan 608-737, Korea. Tel: (015) 269-5848, Fax: (051) 629-5842, eslyu@pknu.ac.kr

Received 27 May 2011       Revised 13 June 2011       Accepted 28 July 2011

Copyright © 2011 The Korean Society of Community Nutrition

Abstract

The purpose of this study was to investigate the perception and utilization of Complementary and Alternative Medicine (CAM) for diabetic patients in Busan. The subjects were 227 patients at two general hospitals (over 400 bed). This study was performed through the interviewing process using questionnaires conducted from January to April, 2010. Of a total of subjects, 109 patients (48.0%) had taken CAM at least one time. The patients used CAM recognized that they were 'auxiliary medicines' (39.4%), 'supplementary health foods' (32.1%) and 'medicines' (19.3%), but inexperienced patients perceived them as 'supplementary health foods' (29.6%), 'unscientific treatment' (22.6%) and 'medicines' (20.2%), It was significantly different between two groups of patients (p < 0.001). The number of CAM types used for the patients was 51. The CAM types were plant foods (64.3%), dietary supplement (23.6%) and animal diets (12.1%). The patients used an average of 5.9 different kinds of CAM and an average of 3.8 years them and paid \93,345 per month. The patients with diabetic complications and for longer morbidity periods used CAM for significantly (p < 0.05) longer periods. The mean effectiveness scores of the patients used CAM were 3.31/5.00 for efficacy satisfaction, 3.58/5.00 for fewer side effects compared to those of oral drugs, 3.60/5.00 for psychological stability, 3.81/5.00 for easiness to use, and 3.06/5.00 for economic satisfaction. Of the patients that used CAM, 55.9% did not consult with doctors about CAM. More than two-thirds of the patients (77.1%) did not feel the need to consult with doctors.

Keywords: complementary and alternative medicine, diabetic patient, perception

Figures and Tables

Table 1
General characteristics of the patients
kjcn-16-488-i001

1) N (%)

Table 2
Medical history of the patients
kjcn-16-488-i002

1) N (%), **: p < 0.01

Table 3
The opinions about complementary and alternative medicine
kjcn-16-488-i003

1) N (%), ***: p < 0.001

Table 4
The number of CAM1) types used for experienced patients
kjcn-16-488-i004

Multiple response

1) CAM : Complementary and Alternative Medicine

Table 5
Utilization of CAM1) of experienced patients
kjcn-16-488-i005

1) CAM : Complementary and Alternative Medicine

Table 6
The number of used and terms of use of CAM2) by morbidity periods and diabetic complication with experienced patients
kjcn-16-488-i006

1) Mean ± SD

2) CAM : Complementary and Alternative Medicine

a,b: Mean followed by different letters are significantly different by Duncan's multiple range test

Table 7
The perception of effectiveness of CAM2) by morbidity periods and diabetic complication with experienced group
kjcn-16-488-i007

Scale score : 1 (very bad) - 5 (very good)

1) Mean ± SD

2) CAM : Complementary and Alternative Medicine

Table 8
Counseling with doctor and concurrency of medical treatment and CAM1) using
kjcn-16-488-i008

1) CAM: Complementary and Alternative Medicine

Notes

This research was supported by the Pukyong National University Research Fund in 2009 (PK-2009-69)

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